Dorothy Anne Medina, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

0024168889 Issued in VA

Practice address

8260 Atlee Rd
Emergency Dept
Mechanicsville, VA 23116-1844

Phone

(804) 764-6300

Fax

(804) 764-6562

NPI assigned

Aug 6, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crater Community Hospice IncGroup PAC ID 1951431410, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crater Community Hospice Inc

  • Community Based Hospice Care Agency
  • Petersburg, VA
  • NPI 1962407700
  Medicare reassignment Care Compare group NPD
• Affinity Palliative of Virginia LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newport News, VA
  • NPI 1609455450
  Medicare reassignment NPD
• Vibra Physicians LLC

  • Hospitalist Physician
  • Johnstown, CO
  • NPI 1659705424

  VA

  Medicare reassignment NPD
• Affinity Care of Virginia LLC

  • Community Based Hospice Care Agency
  • Newport News, VA
  • NPI 1699373449
  NPD
• James River Home Health Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • North Chesterfield, VA
  • NPI 1982470241
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1710291323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38935 ANN ARBOR RD",
            "address_2": "CREDENTIALING DEPT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503397",
            "telephone_number": "734-805-0488",
            "fax_number": "866-250-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "address_2": "EMERGENCY DEPT",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-764-6300",
            "fax_number": "804-764-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DOROTHY",
        "middle_name": "ANNE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024168889",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024168889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mechanicsville Drug Store Inc
• Mechanicsville Medical Center Family Physicians, P.L.L.C.
• Thomas Shawn Mechling, PA-C
• Med Atlantic Inc
• Medcare Foot & Ankle Specialists PLLC
• Matthew Meekins
• Elizabeth Wei-Ming Mei, DDS
• Anthony C. Melchiorre, PSY.D.
• Memorial Ambulatory Surgery Center
• Memorial Anesthesia, LLC

• Acute Care Nurse Practitioner in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Acute Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.